Individual
GEUNWON KIM-SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD/PHD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 627-7000
Mailing address
680 CENTRE ST, TRANSITIONAL RESIDENCY PROGRAM COORDINATOR, BROCKTON, MA 02302-3308
(508) 941-7210
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
277552
MA
390200000X
Student in an Organized Health Care Education/Training Program
260113
MA
Other
Enumeration date
06/17/2014
Last updated
07/01/2019
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